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f �` � FOR OFFICE LISE ONLY PERMIT# <br /> :, <br /> , <br /> BUILDING . : <br /> ' ; PLANN�NG. .::. ... .''; <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes• Fin ! Unfin Landscape or Planning Inspection . <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Pianning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No GalCulated School ImpaCt Fee: <br /> Architectural Approved By/Date: /V��l, j �,��1� School Impact Fee Credit: <br /> Structural Approved By/Dafe: . _� 2�1 ( Total School Impact Fee Owed: <br /> Comments: �-p� �,�-;�,� � �i P Comments: <br /> � <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> ,. ,:: , <br /> , , <br /> _.. <br /> PUBLIC WDRKS. _ : _ <br /> FEES . : INTAKE: Checked By: Date <br /> _ .. _ _ ._. ... ..,.._. <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(DentallMedical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit.!RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Nof Required <br /> Traffic Mitigation Fee <br /> ,.. <br /> Public Works Fee , _ '; flt�:D�P�IRTM�NT , ` ' <br /> School Mitigation Fee UpdatelNew Sprinklers Yes No Existing Bldg._ <br /> Update/New Detection -Yes No Existing Bldg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bidg. <br /> Approved by: Date: <br /> Comments: <br />